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GRACE MANOR SUITES
NPI 1750700860
Assisted Living Facility in Lakeland, FL

Active since April 16, 2014
4620 N SOCRUM LOOP ROAD, LAKELAND, FL 33809(863) 577-0977(863) 577-0984 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 16, 2022, Jan 13, 2022 (2 updates tracked since 2022).

About Grace Manor Suites NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE MANOR SUITES (NPI 1750700860) is a healthcare organization registered as an assisted living facility in Lakeland, Florida and active in the NPI registry since April 2014. The organization lists Savitri Johnson, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1750700860
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRACE MANOR SUITES
Location Address4620 N SOCRUM LOOP ROADLakeland, FL 33809
Mailing AddressPo Box 2480Lakeland, FL 33806-2480 · (863) 937-9114 · Fax (863) 510-5952
Phone(863) 577-0977
Fax(863) 577-0984
Organization SubpartNo
Authorized OfficialSavitri JohnsonAdministrative Assistant · (863) 226-0358
Enumeration DateApril 16, 2014
Last NPPES UpdateApril 24, 20232 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1750700860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · 11995
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4620 N SOCRUM LOOP ROAD, Lakeland, FL 33809
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Other Identifiers 1

Medicaid112829400FL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Manor Suites's NPI number?

The NPI number for Grace Manor Suites is 1750700860. It was assigned to this organization in the NPPES registry on April 16, 2014.

Where is Grace Manor Suites located?

Grace Manor Suites is located at 4620 N Socrum Loop Road, Lakeland, FL 33809. The listed phone number is (863) 577-0977.

What is Grace Manor Suites's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Grace Manor Suites was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.